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INSURERS
PROFIT REACHES $2.7 BILLION IN NINE MONTHS
Collision repair take a beating
Body
shops are suffering a drop in business, as motorists are reluctant
to file insurance claims for damage if their vehicle is drivable.
According
to the Insurance Bureau of Canada, the claims frequency rate in
Ontario feel to 12% in 2003, down from 27% in 1993.
Insurance
Bureau of Canada's Ontario Vice-President Mark Yakabuski confirmed
a 30% drop in collision repair claims in the past 18 moths, and
a 20% drop in home insurance claims- but said this trend is now
reversing itself.
John
Norris, Executive Director of the Hamilton District Autobody Repair
Association (HARA) says shops he's talked to have seen their business
fall by 30% to 47%. Some have had to lay off staff.
Although
business is down, shops have been hit with 30%-40% hikes in commercial
insurance, further eroding profitability.
Norris
points out that although insurance profits have rebounded, insurers
haven't spread the wealth by raising the rates they pay body shops.
Don
Teevens of Hawley Collision Centre in Mississauga has experienced
a 50% drop in insurance-paid repairs.
"About
90% of the people who come into my shop say they don't want to go
through insurance," said Teevens. "They are literally
petrified. Some are afraid to give you their name."
Teevens
estimates he's fixing about 25% more cars than last year, but making
less money because he's doing more minor repairs and fewer major
insurance claims.
However,
he's seen people pay $7,000 out of their own pocket for a repair
to avoid a big rate hike.
"Even
if they finance the $7,000 on a line of credit they figure it's
better than seeing their premium go up by 31%," notes Teevens.
High
auto insurance rates are also causing car sales to stall. For the
first ten months of the year, new vehicle sales in Canada are down
4.9% compared to 2003, despite low financing rates and hefty incentives
by automakers.
Auto
analyst Dennis DesRosiers has cited insurance affordability-along
with high prices-as factors pulling sales down.
"It's
had a very, very negative effect on us," said Hugh Brennan,
owner of Brennan's Dixie Chrysler in Mississauga.
"We're
seeing cases where a person's car payment is $300 a month, but by
the time they add in gas and insurance, it's up to $1000 per month."
(Courtesy Toronto Sun)
(see
headlines)
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ING TO ACQUIRE ALLIANZ OF CANADA
ALLIANZ TO KEEP ALLIANZ GLOBAL RISKS (AGR) IN CANADA
October
8, 2004
ING
Group and Allianz Group announced today that ING Canada has concluded
a definitive share purchase agreement for the acquisition of Allianz's
property and casualty (P&C) insurance operations in Canada.
Under
the terms of the agreement, ING will acquire Allianz of Canada Inc.
and its subsidiaries Allianz Insurance Company of Canada, group
insurer Trafalgar Insurance Company of Canada as well as Canada
Brokerlink, a network of insurance brokerages operating in Ontario
and Alberta. Allianz will however retain its Canadian industrial
lines business, which is part of Allianz Global Risks (AGR). These
transactions will be subject to regulatory approvals.
As
a result of the acquisition, ING's gross written premiums in Canada
will increase by approximately CDN$ 600 million to reach more than
CDN$ 4 billion. ING will also expand its network of independent
distribution partners. More than 800 employees from Allianz Canada
will transfer to ING, which currently has a workforce of more than
5,600 employees across the country. Also involved in the transaction
are Canada Brokerlink's 525 employees.
The
Allianz acquisition with its portfolio of personal and small to
medium commercial lines business reinforces ING's position in its
preferred segments of the market. "The acquisition allows us
to continue expanding our activities within the P&C insurance
industry, especially in Ontario and Alberta", said Claude Dussault,
President and Chief Executive Officer of ING Canada. "As we
increase the scale of our activities, we will also be in a better
position, in collaboration with our distribution partners, to improve
our offering of innovative solutions to consumers."
"With
its solid performance, ING Canada continues to be the leading provider
of P&C insurance in Canada. Its past success and future growth
potential were decisive factors in the decision to grow our market
share in Canada", said Fred Hubbell, Member of the Executive
Board of ING Group and responsible for Insurance Americas.
"This
transaction enables Allianz to achieve two objectives. In selling
our Canadian personal lines, some of the commercial lines operations
and the brokerage business, we stick to our strategy to focus on
core business and markets and to reduce complexity. Secondly, retaining
the industrial lines operations will allow us to successfully support
Canadian and international clients of Allianz Global Risks,"
explained Jan Carendi, Board Member of Allianz AG, responsible for
the Americas.
Amsterdam-based
ING Group is a global financial institution offering banking, insurance
and asset management to over 60 million private, corporate and institutional
clients in more than 50 countries. In Canada, ING is the leading
provider of property and casualty insurance with projected premiums
of approximately CDN$3.6 billion in 2004. Assets at the end of last
year amounted to CDN$7.6 billion. ING Canada offers its insurance
products and solutions through ING Insurance, ING Novex, BELAIRdirect
and Nordique.
Allianz
Group, with its head office in Munich, is present in over 70 countries
providing its customers worldwide with a comprehensive range of
services in the areas of property and casualty insurance, life and
health insurance, asset management and banking. Allianz Canada is
the 13th largest property and casualty insurance company in the
country with premiums of CDN$898 million and CDN$1.9 billion in
assets.
(see
headlines)
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Edmonton
storms could prove costly
July
13, 2004
While claims figures are not yet available for flooding and hail
damage in the Edmonton area this past weekend, the storms are likely
to prove costly for insurers, says Jim Rivait, vice president of
the Prairie region for the Insurance Bureau of Canada (IBC). Rivait
notes the weekend weather damage comes on top of storms earlier
last week. "We know from last week's storm there were something
like 1,400 claims, and the weekend was bigger.
The West Edmonton Mall had a number of businesses damaged, and there
were a
number of claims for automobiles with hail damage."Severe rainfall
and hail hit Edmonton on Sunday night, with more than 500 homes
reporting basement flooding as well as the West Edmonton Mall -
the world's largest mall - and major roads being washed out. In
its latest Instrat CAT-i Report, Guy Carpenter says about 150 mm
of rain fell, triggering flash floods.
This follows more than 350 flooded basements resulting from storms
earlier last week, according to an advisory from Edmonton Mayor
Bill Smith. He notes cost of repairs to the city's drainage systems
from the earlier storms alone is estimated at $750,000.
Sewer back-up is considered "an act of God" and is therefore
insurable, meaning that the majority of homeowner losses will be
covered by insurance, Rivait explains.
(see
headlines)
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CAPPING
FOR TOW BILLS AND STORAGE
Auto Insurance Premiums also set to drop and towing fees set at
$300 maximum
January 12, 2004
Ontarios
Finance Minister Greg Sorbara has introduced regulations that will
address abuses in towing and damaged vehicle storage, cap fees for
Designated Assessment Centres, raise standard collision deductibles
to $500 and keep a Liberal government commitment to lowering the
price of auto insurance premiums by 10% .
The
new towing changes spell good news for collision repair centers
and insurance companies who were often abused by uncontrolled prices
charged by some tow companies who would not deliver the car for
repair unless excessive fees were paid.
Controls
on tow pricing and storage pricing have been requested by repairers
and insurers. This new regulation will reduce collision repair costs
through lower shop payouts to tow operators and save insurers money
that they can use to reduce auto insurance premiums, says
John Norris, Executive Director, of the Hamilton District Autobody
Repair Association (HARA).
The
provincial government is also planning to limit benefits for those
that suffer from lower levels of whiplash injury after an accident
as well as reducing expenses for assessment centres by not requiring
payment by the centres for the first 50 kilometres of travel by
a client for assessment or examination.
The
long-awaited promise of lower premiums (by 10%) will take place
says the Minister, but may not show on some polices until April
15 as insurers file new rates.
Mark Yakabuski, Ontario Vice-President of the Insurance Bureau of
Canada says Insurers are committed to filing new rates to
take into account this announcement. Any savings generated by these
measurers will be passed on to consumers.
(see
headlines)
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IBC
Pleased with Ontario Government Actions on Auto Insurance
TORONTO,
Jan. 9 /CNW/ - Insurance Bureau of Canada (IBC) is pleased with
the actions announced today by the Ontario government to reform
the auto insurance system.
The government announced that it would take a number of steps
to reduce insurance claims costs, including capping fees charged
by Designated Assessment Centres and strengthening the protocols
developed to provide timely treatment of whiplash injuries. It
also announced that auto insurers will be required to file new
rates by January 23rd.
"We are particularly pleased that the government will lift
the legislated freeze on auto insurance rates as of January 23rd,"
said Mark Yakabuski, IBC's Ontario Vice-President. "Allowing
the market to work freely is fundamental to restoring stability
and availability in the auto insurance sector," he added.
"Insurers are committed to filing new rates to take into
account today's announcement. Any savings generated by these measures
will be passed on to consumers," Yakabuski said.
Today's actions will be especially helpful in controlling the
rising costs associated with automobile accident injuries. "Sharply
escalating costs for health care and for lawsuits are the main
factors that have pushed auto insurance premiums up over the past
couple of years. Bringing these costs into line will help insurers
give drivers a significant break in the months to come,"
Yakabuski said.
The industry is committed to working with the government to ensure
the quick implementation of the measures announced today and to
take any additional action necessary to restore health to the
auto insurance sector. "With the actions announced by the
government today, we can look forward to an improvement in the
affordability and availability of auto insurance in Ontario. And
that's good news for consumers," Yakabuski added.
Most drivers will see reductions from current approved rates in
the months to come. "The exact savings will vary among drivers,
depending on their driving record and other factors," said
Yakabuski, "and each company will have to take into account
its own financial situation in filing for new rates." Insurance
Bureau of Canada is the national trade association representing
private property and casualty insurers. Its member companies account
for more than 90% of the non-government home, auto and business
insurance in Canada.
(see
headlines)
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Auto
insurance to fall 10%
But reforms won't take effect until after April 15
By Gillian Livingston
The Canadian Press
Ontario
drivers will have to wait until April before they see lower auto
insurance rates, and under recently passed regulations, there
will be limits on some coverage to bring costs down.
Still,
Finance Minister Greg Sorbara is promising that insurance premiums
for Ontario drivers will fall by an average of 10 per cent because
of these reforms, many of which are set to take effect on policies
bought or renewed after April 15.
"We're
confident that when the insurance companies have reviewed (the changes),
they will -- on average and over and across the industry -- be able
to file rates ... that will result in premium reductions of, on
average, 10 per cent," Sorbara said yesterday.
Insurance
companies have to file new rates with the government by Jan. 23.
During
last October's provincial election, the Liberals promised to freeze
rates if elected, which they did, and make changes so premium rates
fell by 10 per cent within 90 days. However, it will take until
April before the rates filed in January are through the approval
process, Sorbara said.
Ontario's
insurance companies were pleased that the cap on rates would be
lifted, and assured consumers that premiums would go down.
"Insurers
are committed to filing new rates to take into account (this) announcement.
Any savings generated by these measures will be passed on to consumers,"
said Mark Yakabuski, Ontario vice-president for the Insurance Bureau
of Canada.
"There
certainly are going to be reductions for most drivers, but the exact
level is going to depend on their driving record and other factors,"
including the financial situation of their insurance company.
The
new regulations will:
*
Limit tow truck and storage fees to $300, although fees in northern
Ontario won't be capped.
*
Cap fees for Designated Assessment Centres, which assess accident
victims when there's a dispute with the insurance company.
*
Change guidelines for the extent and length of care needed for the
treatment of soft tissue injuries such as whiplash.
*
Limit income replacement benefits and attendant care benefits for
those who suffer lower levels of whiplash.
*
Not require insurers to pay for the first 50 kilometres of transportation
costs to and from examinations or assessments, or treatment, counselling
and training sessions, except for those with catastrophic injuries.
*
Increase the standard collision deductible to $500.
Critics
suggested a number of these changes were put forward by the previous
Conservative government in late 2002, such as curbing payouts for
treatment of injuries like whiplash.
NDP
Leader Howard Hampton said he doubted that Ontario drivers will
see a 10 per cent cut in auto insurance premiums.
Insurance
companies will make excuses to clients ... "so we can no longer
insure you," he said. "They'll have to go out and find
a new insurance company, and lo and behold, they'll be paying a
rate that's higher than they were paying before. No one is going
to see a rate reduction."
The
Liberals had said they would scrap the Designated Assessment Centres,
not just cap their fees.
Sorbara
said that change requires legislation and must wait until the house
sits again in late March. The centres will be examined along with
other auto insurance reforms as part of a second package of changes
to be put forward later this year, he said.
(see
headlines)
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INSURANCE
BUREAU OF CANADA FILES SUBMISSION ON COMPETITION POLICY
IBC concerned that some proposed changes unnecessary or duplicative
December 28, 2003
The
Insurance Bureau of Canada, has written to the Canadian Competition
Act officials in Ottawa with their comments over the proposed Amendments
to the Competition Act. The letter was sent on September 30 of this
year as part of an invitation for comments in a public policy discussion.
IBC
had four areas of concern with the proposed changes:
IBC
felt that provisions for strengthening the civil provisions of the
Act, including monetary administrative penalties and a civil cause
of action including restitution in respect to deceptive marketing
practices was unneeded and that the present processions in the Act
were satisfactory.
The
insurance association also felt that the reform of the criminal
conspiracy provisions in the Act had little benefit and could be
misinterpreted. IBC felt that the language use was vague and subjective
and might serve to restrict pro-competitive alliances
IBC
argues for the de-criminilization of the predatory pricing, promotional
allowance and discriminatory pricing provisions in the proposed
Act. They question the provisions being included under an abuse
of dominant influence section of the Act and believe that
the introduction of monetary penalties and civil action is a significant
departure from the normal process.
The
Insurance Bureau of Canada also is worried that a provision to reform
the Act to allow the Commissioner to request an independent body
to make inquiries into any segment of Canadian marketplace completion
may be duplicative and open to abuse by political interest groups.
(see
headlines)
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Ontario
auto insurance rate freeze not unexpected -- further reforms welcomed
TORONTO,
Oct. 23 /CNW/ - The insurance industry will cooperate fully with
the Ontario government in respecting today's auto insurance rate
freeze.
"Today's rate freeze following the swearing in of the new
government was not unexpected," says Mark Yakabuski, Ontario
Vice President, Insurance Bureau of Canada. "The government
campaigned on this promise and now they are following through
on that commitment. Our industry will respect that," he adds.
Insurance Bureau of Canada would advise the new government to
avoid introducing legislation to achieve this objective. "Taking
this through the Legislative Assembly is not needed at this time
and could delay the process. Because the Financial Services Commission
of Ontario must approve all rate changes, a policy statement from
government to the Superintendent of Financial Services concerning
the rate freeze should be sufficient in light of the industry's
co-operation," says Yakabuski.
"It's equally important to recognize that not all insurers
in Ontario have adequate premiums to cover claims costs at this
time. We have to be mindful in implementing a rate freeze to avoid
solvency problems that were highlighted recently by the Office
of the Superintendent of Financial Institutions," adds Yakabuski.
The industry looks forward to further reforms also promised in
the government's recent election platform. "It's important
to proceed with the new government's commitment to reform auto
insurance," says Yakabuski. "The industry wants to meet
at the earliest opportunity with the Honourable Greg Sorbara,
the new Minister of Finance, to discuss how we can assist the
government in reducing auto insurance rates by an average of 10
per cent from current approved rates," adds Yakabuski.
Insurance Bureau of Canada is the national trade association of
the private property and casualty insurance industry. It represents
more than 90% of the non-government home, car and business insurance
in Canada.
(see
headlines)
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IBC
releases the results of a survey on the reform of the Automobile
Insurance Act
Amendments to the no-fault system: Quebecers' support drops as they
learn
more about the possible impact of the government's reform
MONTREAL, Oct. 7 /CNW Telbec/ - A survey conducted for the Insurance
Bureau of Canada (IBC) clearly shows that Quebecers' support for
the reform of the Automobile Insurance Act, as proposed by the government,
drops significantly when they become aware of the possible consequences
of the plan. With the new legislative session beginning in a few
weeks, IBC is releasing the results of the survey.
An analysis of the survey reveals that, while the majority of the
population seems to be spontaneously in favour of the changes proposed
by the government, perceptions vary greatly when respondents are
confronted with specific situations. In order to measure the public's
support for the government's plan, cases examples were presented
to the respondents.
The results of this exercise are very revealing. For instance, 77%
of respondents initially stated that they were in favour of the
amendment aimed at cutting off benefits for criminal drivers, but
awarded it an average score of 4.5 out of 10 when asked about a
specific case. With respect to reinstating the right to sue, the
rate of approval dropped from 69% to a score of 4.6 out of 10. Finally,
after the persons surveyed learned about three actual cases
concerning the reimbursement by criminal drivers of amounts paid
to victims, their support collapsed, falling from 65% to scores
of 5 out of 10, 3.9 out of 10 and 5.3 out of 10 respectively for
the three cases submitted.
"A review of this data shows that the answers are much more
varied when the public becomes aware of the actual implications
of the government's plans. This is certainly the reason why respondents
feel that the government should provide better compensation to victims
(63%) rather than reinstate the right to sue", explains Jacques
Valotaire, chairman of IBC Quebec.
Furthermore, when individuals surveyed were told about the possible
onsequences of cutting off benefits paid to criminal drivers injured
in an accident for which they are responsible, this amendment received
the support of 17% of respondents only. A large proportion of Quebecers,
i.e. 87%, felt that it should be imperative to hold public hearings
before making a final decision on the proposed changes.
The survey also addressed the issue of premium increases. On this
issue, 68% of those surveyed felt that the amendments proposed by
the government would result in higher automobile insurance premiums.
The public's support for the government's plan declines significantly
as the percentage of premium increase becomes higher.
The survey provides information on the main factors that would prevent
individuals, should they be victims of criminal drivers, from suing
them even if they have the right to do so. These factors are in
decreasing order: lawyers' fees, long waits, the criminal driver's
insolvency and the psychological pain of having to relive the event
during the proceedings.
"The survey confirms that, while the public may find the government's
intentions commendable, the means used seem inappropriate. We are
convinced that once the Quebec people are better informed about
the consequences that these changes may bring about, a large majority
will want to keep the current no fault system and will oppose the
implementation of new judicial proceedings. We hope that the results
of this survey will influence the government's thinking in this
matter", Mr Valotaire concluded.
The survey was conducted by Impact Recherche, between August 1 and
August 19, 2003, and included 1,015 persons over 18 years of age
across the province of Quebec. The margin of error is (+/-) 3.1
percentage points, 19 times out of 20. The complete survey may be
viewed on the following Web site: www.bac-quebec.qc.ca
(see
headlines)
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CCAIF
releases top ten Canadian insurance frauds of 2002
The
Canadian Coalition Against Insurance Fraud (CCAIF) has released
this year's top ten insurance frauds -- the annual list that features
some of the most offbeat and oddball insurance schemes on record.
All of the examples included in the list actually happened, but
the identities of the fraudsters have been changed to protect
the dimwitted.
Insurance fraud costs Canadian policyholders over $1 billion each
year. To the average citizen, that means at least ten percent
of their total insurance premiums are used to cover the cost of
fraud.
"In terms of insurance fraud schemes, we've seen everything
from exaggerated medical treatment claims to staged auto accidents,"
says Mary Lou O'Reilly, executive director of CCAIF. "When
somebody submits an exaggerated or false insurance claim, we all
end up paying more for insurance." "We compile the top
ten frauds list every year as part of our commitment to generate
public awareness about the seriousness of insurance fraud and
how it affects everyone, no matter how insignificant it may appear,"
Ms. O'Reilly
says. "By talking about insurance fraud schemes and paying
closer attention to claims, the Canadian insurance industry continues
to be proactive in its efforts to employ new methods to assist
in actively detecting and preventing insurance fraud."
This year's top ten frauds include such wacky claims as the car
owner who was caught on videotape, paying someone to vandalize
his vehicle so he could collect from his insurance company; and
another incident in which two brothers -- with a need for speed
-- who blamed a "phantom" blonde woman for smashing
up their car.
The Canadian Coalition Against Insurance Fraud was founded in
1994 to develop, foster and implement solutions to prevent and
detect insurance fraud through a variety of concrete initiatives.
CCAIF members represent the full spectrum of stakeholders concerned
about the cost of insurance fraud, including the private insurance
industry, medical and rehabilitation professionals, consumer advocacy
groups and public auto insurers.
Top 10 Canadian Insurance Frauds of the Year
1. Photo Finish: The man's basement had been flooded causing extensive
water damage. The insurance adjuster arrived on the scene and took
some pictures for the record. The photos showed a television set,
a stereo, and a few bags of clothes that would all have to be replaced.
A contractor arrived the next day and he also took some photos before
starting the cleanup. But his pictures told a different story. There
were now three television sets instead of one, two stereos -- not
one -- and the bags of clothing had multiplied overnight to more
than 40. When the adjuster and the contractor compared their photos
they told a story worth a thousand words but the insurance company
only
needed two. Claim denied.
2. Caught on Tape: It seemed like such a clever plan and an Ottawa
man couldn't resist boasting. He was going to arrange for the theft
and vandalism of his own car then collect on the insurance. He thought
people would be impressed so he told someone, who told someone else
who, in turn, told the insurance company what was about to happen.
Surveillance was arranged and the car owner was caught on videotape
handing over the keys to a thief. The thief was then seen faking
the theft by damaging the ignition system. He also removed the stereo
and returned it to the owner. The owner pretended to be upset at
his loss when he filed his claim. However, he became genuinely upset
when he
was told about the video and charged with fraud.
3. Garden of Greed: The thieves must have been avid gardeners. A
woman said they'd cleaned out her garage and she produced a list
of the stolen items that included a riding lawnmower, a garden tiller,
chainsaws, shovels and whole range of tools. In all, it added up
to a $10,000 claim. But she was a little vague about some of the
details and descriptions so the adjuster decided to dig a little
deeper. Three neighbours told investigators that they had purchased
some of the items from the woman. Her ex-husband told them he'd
taken some of the tools with him when he left. And finally, it turned
out a few of the things on her list never even existed. Following
the investigation, the woman called the adjuster and said she wanted
to discontinue her claim.
4. Mom and Dad's Idea: A man was going through a messy divorce and
decided he needed some friendly female companionship. That's what
the ad in the paper promised and apparently delivered. She proved
to be a great friend, at least that's what her insurance claim said.
She claimed she was helping him home after just meeting him in a
bar
because he'd had a little too much to drink. She also claimed she'd
never been in his house before and that as she came in the door
she didn't see the basement stairs when she tumbled down and broke
her leg. She made a claim against the man and his liability insurer.
However, the doctor who lived nearby and had come to treat the woman,
told a different story. He said he found her, scantily clad, in
a heap at the bottom of the stairs. Other neighbours said they'd
seen her at the house before the accident. The man confessed that
he'd teamed up with his new friend to file a false claim and defraud
his
insurer, adding it was his parent's idea. There's no word on the
reaction of his soon-to-be ex-wife.
5. The Copycat: It was a run of the mill accident. A man was moving
into his new house when he dropped his television set and it tumbled
down the basement stairs. He filed a claim and the insurance company
replaced the television with a new one. He was obviously impressed
with the prompt and efficient service and he told a co-worker about
it. She too was impressed and a little while later her husband called
the insurance company to report that he'd dropped his television
set and that he'd taken it to the dump. But the scheming couple
had the misfortune of dealing with the same adjuster who had handled
the other claim. He went to the dump and discovered that the make,
model and serial number of their television set were the same as
the one in the earlier case. Coincidence? He thought not.
6. Blonde Imagination: Two brothers were camping in the mountains
of British Columbia when they ran out of beer. They hopped into
their Mustang and roared off to a local tavern to restock. While
standing at the counter waiting for their order they bragged to
another
customer about how fast they'd made the trip. But on the drive back
their luck ran out. The Mustang spun out of control at 150 km/h
and crashed into a ditch. The two brothers were thrown out of the
car and landed about 50 metres away. When the police arrived, one
of the
brothers told them that a blonde was driving the car and she ran
away after the accident. The brothers filed insurance claims totaling
$1.3 million. Perhaps they were imagining how they would spend it
when investigators concluded that the mysterious blonde was also
a
product of their imaginations. Claim denied.
7. Just the Fax: She must have been a very shy woman. Or perhaps
she was just too distressed by the loss of her $72,000 diamond earrings
to talk to the insurance adjuster. Whatever the case, she insisted
that all contact with her be made by fax machine. Her husband, however,
was a little more forthcoming. He told an investigator he knew
nothing about the earrings, where they came from or where they went.
His wife continued to pursue her claim until one day the insurance
company received her final fax. It read, "Unless I hear from
you shortly, I will expire my file". Her file is now archived
in the no
payment section.
8. Goldfingers: The massage therapist had been busy, but an insurance
adjuster thought she had been a little too busy. Investigators interviewed
more than 40 of her patients and reviewed the bills she had submitted
to the insurer. It turned out she was offering a kind
of two for one deal in reverse. The therapist was billing for two
massage treatments for every one she actually performed. She was
also billing for treating patients while they were out of the country
and out of reach. In the end, the massage therapist was touched
by the
long arm of the law, ordered to make restitution, pay a fine and
perform community service.
9. Transmission Error: A mechanic had suffered a devastating accident.
His back and legs were so badly injured that he claimed that he
was unable to work. He applied for and received income replacement
benefits. For 18 months, the cheques arrived until one day the insurance
company received a tip. An investigator armed with a video camera
was sent to investigate. Sure enough, the mechanic was seen changing
the transmission of a car. A car transmission is a very heavy piece
of equipment, however, the mechanic had no difficulty pulling out
the old one and lifting a new one into place. When the gavel came
down, he was convicted of fraud and ordered to repay almost $17,000
in benefits.
10. Pull the Other One: The injury was real enough. A man's foot
had been badly cut and his story seemed plausible. He'd arrived
home, he said, and was getting out of his car when a family member
accidentally ran over his foot with a lawnmower. He submitted an
accident benefit claim to cover medical expenses and lost income.
An investigator went
to the man's house and discovered the driveway had high curbs running
down both sides. A tape measure and a little math revealed that
the man's explanation was impossible unless he had a leg that was
ten-feet long. The man withdrew his claim and went back to work
without telling anyone what really happened to his foot.
(see
headlines)
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Markham
Insurance meets a messy end
By James Daw
WHEN
Markham General Insurance Co. closed in June it caused more trouble
than expected for many of its 65,000 clients.
The
company's decision to close was supposed to conserve enough capital
to pay all loss claims and leave enough money to pay refunds on
policies terminated early.
That
has not happened. About 1,000 refund cheques for an average of $300
each have bounced. A few thousand more refunds are still left owing.
An
industry-sponsored protection fund will step in, but will only pay
70 per cent of what's owing to a maximum of $700 per refund.
Nor
does Markham have enough money to pay all loss claims. The protection
fund will cover losses up to $250,000, but that won't be enough
for a few businesses such as restaurants who had losses.
Finally,
settlement of claims for statutory accident benefits for motor vehicle
injuries has been hampered because Ontario legislators never fixed
a problem identified when Maplex General Insurance Co. failed in
1995.
No
clear mechanism is in place for dividing the cost of paying victims
these benefits among all insurers in Ontario, where Markham obtained
most of its sales.
"This
is messy," says Alex Kennedy, president of the Property and
Casualty Insurance Compensation Corp., or PACICC. "It's something,
that by this time, should have been handled."
Repeatedly
after Maplex failed, Kennedy warned Ontario ministers and parliamentary
assistants responsible for insurance that the government would face
embarrassment if a sharing mechanism was not put in place before
the next insolvency.
Markham
General grew rapidly in the past two years, spurred by low premiums
and the endorsement that hockey commentator Don Cherry gave to Markham's
largest broker, Believer Plus Insurance Brokers Ltd. of Hamilton.
But
when Markham could not find additional capital to fund its growth
and deal with the need to raise its low premiums, regulators nudged
the insurer to close as of June 15.
The
Financial Services Commission of Ontario had to go further on July
24. It went to court to enforce an orderly wind-up of the business,
and name Deloitte and Touche Inc. as the liquidator.
It
is too early to estimate the size of shortfall at Markham, which
relied heavily on international reinsurers to support its business,
said John Whitehead of Deloitte. "If the reinsurance holds
good, there is a chance we will have a good deal of money to pay
to policyholders and (reimburse the compensation fund), but probably
not enough to supplement partial refunds of unearned premiums."
The
liquidator has the money and authority to continue paying accident
benefits to victims of motor vehicle injuries until mid-September.
At that point, the liquidator and PACICC will need guidance from
a judge on how to pass on any shortfall in future benefits to other
insurers to individual companies where the victims may also
have coverage or on a fairer basis to the entire industry.
Industry
executives have been critical of the Financial Services Commission
for not acting sooner to avert a train wreck at Markham. They noted
in April that Markham's premiums were so low that many of its dislodged
policyholders could see increases of more than 20 per cent when
they switched companies.
In
a few cases, policyholders never received notice or read press reports
to learn that their policies were about to be cancelled. "One
gentleman was horrified to learn he had been driving for a month
without coverage," Kennedy said in an interview.
Mutual
fund returns: Most investors in well diversified Canadian equity
funds have not been hit as hard as the Toronto stock market, as
I wrote last Tuesday. But, due to an error loading software, I reported
March figures instead of July's as intended. So here is an update.
To
the end of July, not one in eight funds had dropped as much as the
over-all market, which was down 36 per cent in a two-year period.
The weighted average loss for investors was 10.6 per cent, and only
5.2 per cent for those invested in funds with more than $1 billion
in assets.
Only
a fifth of funds made money, though, compared with a half to the
end of March. Large funds like CI Harbour had an average annual
gain of 7.5 per cent, Trimark Canadian Endeavour 7.4 per cent, Investors
Canadian Large Cap Value 5.2 per cent and Trimark Canadian 1.6 per
cent.
Among
global funds the ones that many hapless investors were urged
to buy with borrowed money the results were worse by July
than in the March figures. Half of funds lost more than a third
of their value in a two-year period, while the average investor
lost 14.7 per cent.
Results
will be different again when fund holders get their end-of-August
figures. The Toronto market peaked during that month two years ago.
Thanks
to the Toronto Star www.thestar.com
(see
headlines)
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ICBC
reports almost $40 million profit in Q-2 2002
8/12/2002
British
Columbia's public insurer is reporting increased profits for the
quarter ending June 30, 2002, largely the result of changes to its
investment portfolio. The Insurance Corporation of B.C. (ICBC) saw
a net profit of $39.6 million for the second quarter of this year,
compared to $8.5 million profit for the same period in 2001. The
result is net income for the first six months of the year of $9.2
million, versus a net loss of $30.6 million at the same point last
year.
Total premiums written were up 12% to $730 million for the most
recent quarter, from $651 million for the second quarter of 2001.
However, insurance operations saw an underwriting loss of $67 million,
against a loss of $75 million last year during the same time.
Claims costs continue to rise, the corporation reports, up to $632
million for the quarter, from $571 million in Q-2 2001. "The
rising trend in claims continues to be a major concern for the Corporation,"
states a release. "This year has seen a continuing increase
in both the frequency and severity of crashes and at the same time,
car thefts have increased 14% over last year."
Gains came from the investment side, with investment income up to
$129 million versus $107 million for the second quarter last year.
ICBC outsourced the management of its Canadian equities portfolio,
and linked that portfolio to the S&P/TSX Composite Index during
this most recent quarter. "The adjustment of the portfolio
to the Index resulted in the disposition of a number of holdings
and was responsible for most of the exceptionally high gains on
sale of investments in the quarter."
As a result, about $30 million of the gains budgeted to be achieved
in the second half of 2002 have already occurred.
(Thanks
to CanadianUnderwriter)
(see
headlines)
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FSCO
seizes assets of Markham General
July
22, 2002
The
Financial Services Commission of Ontario (FSCO) has issued notice
that the regulator will take possession of the assets of troubled
insurer, Markham General Insurance Co. The insurer recently cancelled
active policies and ceased writing new business.
FSCO says its action against Markham had followed close monitoring
of the company's financial affairs, and after having been supplied
by financial records from the board of directors, it became apparent
that the assets were insufficient to warrant the insurer remaining
in business. "The superintendent took this action to protect
policyholders because Markham General Insurance Co. could no longer
meet its obligations." FSCO observes that policyholders will
receive some protection of their interests through the insurance
industry's Property and Casualty Insurance Compensation Corp. (PACICC).
from
Canadian Underwriter
www.canadianunderwriter.ca
(see
headlines)
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Steve
Arnold
The Hamilton Spectator
More
than 12,000 Hamilton residents are scrambling to find new car and
business insurance after the provincial regulator asked their company
to cancel all outstanding policies. Policies of Markham General
Insurance Co. were sold by a number of brokers, including the much-advertised
Believer Plus. Markham General was asked to go out of business by
the Financial Services Commission of Ontario because its cash reserves
fell below legal requirements.
Across the province, as many as 80,000 policyholders could be affected.
Industry
watchers warn that other insurers may also go under, victims of
a wave of turmoil in the insurance business.
Hardest
hit by the Markham General decision is Hamilton-based Believer Plus,
a company pitched in a series of radio advertisements by colourful
hockey commentator Don Cherry. It has 10,000 customers who must
now be placed with new insurers, most at higher premiums.
"It's
a real problem, but it isn't a problem that we won't be able to
overcome," said John Mitchell, of Mitchell and Abbott Group
of brokers which includes Believer Plus. "This is something
we may see in the industry again before the end of the year."
Markham
sold policies through a network of 80 brokers across Ontario, including
Mitchell's groups, Dalton Timmis Insurance of Hamilton and Tripemco
Insurance of Burlington. Among them, they sold more than 12,000
of the company's low-priced auto policies targeted to good drivers.
Those
policies will stay in effect until June 15. Policyholders will have
to find new insurance, which shouldn't be a problem, but most will
face premiums hikes of as much as 15 per cent.
They
will also be reimbursed for payments made for coverage beyond June
15.
Mitchell
explained that its low premiums may have been one of Markham's major
problems -- the $83 million in premiums it brought in simply wasn't
enough to cover claims and maintain the roughly 30 per cent of total
policy value it's required to have in liquid assets. Industry sources
say Believer Plus alone accounted for roughly $14 million of Markham's
premiums last year.
The
problem of inadequate rates was aggravated by the stock market slump,
which meant the company's investments didn't make up the difference.
Some industry experts are blaming provincial regulators and politicians
for not changing Ontario's mandatory insurance to help curb the
soaring cost of medical treatments for minor injuries, and to speed
up approval of rate increases.
Trouble
became a crisis, however, in the wake of the Sept. 11 terrorist
attacks when insurance companies were hammered by a double blow
-- the firms that insure insurance companies against major losses
suddenly cut the amounts they would cover and drastically increased
the fees they charged.
It
works like this. If an insurance company writes a policy for $1
million, it only covers the first $100,000 of the loss and buys
re-insurance to cover the balance.
Since
Sept. 11 however, premiums for that secondary coverage have tripled
and the maximum amounts covered have been slashed.
The
damage all those factors did to the balance sheets and bottom lines
of insurance firms means more could soon follow Markham out of the
business, Mitchell said.
"I
don't believe we've seen the end of this sort of thing," he
said. "We may see something like this again before the end
of the year."
Rowena
McDougall, spokesperson for the Financial Services Commission of
Ontario, said Markham General is voluntarily cancelling all its
business, auto and home insurance policies after a quarterly report
filed in February showed it didn't have the required amount of cash
on hand.
"Markham
came to us and we started working with them as soon as we realized
there was a problem," she said. "We consider this a very
successful resolution of the problem."
McDougall
said after the cash shortfall was discovered, the company was asked
to stop writing new policies and was given one month to find new
capital. When that search failed, it was asked to shut down.
Until
Believer's current policy holders are placed with new coverage,
Mitchell said listeners won't be hearing any more of Cherry's commercials.
But they will be back, selling policies from a new insurance company.
"We
have to take care of our current clientele. We can't even think
about writing any new business," he said.
Markham
General says it still has enough money to make pro rata refunds
for policies cancelled mid-term and to pay claims for wrecks and
injuries.
Ken
Watson, an interim manager parachuted in by the insurer's principal
financial backer, said Dailey Capital Management Inc. of South Port,
Conn., will stick around to keep things going until policies are
cancelled. It's also possible the company will be revived.
"We
are trying to resurrect the business in terms of recapitalizing
it," said Watson.
Thousands
of other drivers were already being moved around after Zurich Insurance
sold its personal lines business in Canada to ING Group NV, and
clients of CGU Insurance Co. of Canada were transferred to its sister
Pilot Insurance Co.
You
can contact Steve Arnold at sarnold@hamiltonspectator.com
or at 905-526-3496.
(article courtesy Hamilton Sepctator)
www.thehamiltonspectator.com
(see
headlines)
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Auto
Repair Perspective: Work For, Not Against
By
John Norris, executive director of the Hamilton District Autobody
Repair Association
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The
world of repair shops and front-line collision damage appraisers
is very different to that of the corporate insurance industry.
A closer understanding of the challenges faced by both sides
is clearly needed. In fact, with both bodyshops and insurers
facing extremely tight operating margins in the highly competitive
auto repair market, it can only make sense that both the body
shop owner and insurer should work together rather than against
each other. |
Insurers
who pay for repair and refinish of collision damaged vehicles expect
a seamless claims process. Insurers talk about a quality claims
experience for their clients, with the expectation that the client
will be so pleased with the claims and repair process that he/she
will be eager to reinsure with their company.
Collision
shop owner/managers repair vehicles for their customers -- the car
owner. The insurer however, pays the bills. The shop owner wants
a happy customer too. After all, a happy customer means a life-long
client who often helps form decisions for others on what shop to
use. Over 70% of a repair shop's business is derived from referrals.
Good recommendations of a shop to a potential customer from brokers,
suppliers, friends and relatives is the largest source of income,
so they too want a seamless repair with no hassles or delays.
So,
if everyone wants the same end result, namely a happy client and
a seamless repair process, then why do shops call me and vent their
frustrations on how they are unable to achieve that end due to purported
"roadblocks" put in their way by insurers? And, why do insurers
call me and complain that repair shop are not co-operating?
Despite
upbeat speeches at conferences and wonderfully warm public ads to
win new clients, both collision repair shops and insurers often
alienate customers in the claims handling aspect of vehicle repairs.
The following is a list of the top ten complaints received by my
office. I have also provided my thoughts on what can be done to
solve these issues:
Am
I getting OEM parts right? With the continuing negative publicity
of aftermarket part lawsuits, an increasing number of customers
are asking for original manufacturers' parts. In addition to which,
shop owners do not like aftermarket products as they often fit poorly
and take an average 33% longer to install, resulting in vehicle
return delays. On the other hand, insurers like aftermarket parts
because they are cheaper. But, remember, this means longer delivery
cycles resulting in a dissatisfied customer and higher rental car
costs.
What
do you mean it will take seven days for an appraiser to show up?
Customers are often referred to bodyshops by relatives, dealerships
and brokers. However, when dealing with an insurance company representative,
they are told that if they go to the shop of their choice rather
than the insurer-preferred shop, then they will have to wait for
an appraiser to evaluate the damage before the repairs can be made.
This is not a good way to build customer loyalty nor bring about
time efficiency.
You
want the rental car back in seven days too? Insurers have every
reason to want to restrict car rental costs. However, badgering
the client will not help achieve that end. Please recognize that
the repair shop does not have staff waiting to pounce on the repair
and start the moment the damaged car arrives. Neither are those
parts that are needed (or even worse, back-ordered) going to be
there when the car rolls in. Rather, improved communications between
repair shop, customer and the insurer would help. A new twist is
to link the rental into the shops promised repair date. Some shops
will recognize the extra costs an insurer bears and will cover them
if a delivery delay is the shop's fault
We
will not guarantee the work at that shop. It is the repair shop
that guarantees the work, not the insurer. Many shops find these
comments by insurers, intent on sending clients to their own contracted
shops, as demeaning and untrue. It is, however, fair to advise your
customer of specifics of the warranty at the shop that they wish
to use.
The
insurer wants to remove my car to one of their own shops. Well,
there goes the cycle time, cost control and customer satisfaction
rating. By the time the insurer pays for the extra tow, the double
estimate fees, the double "tear down costs" and possible additional
parts fees -- the repair costs have escalated tremendously. Insurers
would be smarter to leave the car where it is.
The
shop told me my car would be ready in two weeks. Shops must
do a better job of keeping their commitments to delivery time, and,
if there are changes, then let the broker/insurer and customer know
in advance. Repair shops would win "extra brownie points" with insurers
and customers if they guaranteed their commitment to delivery time.
Some shops may even offer to cover rental costs if they are at fault
in not keeping to delivery times.
The
insurer is sending someone to the shop to replace the windshield.
The non-trades certified mobile glass installer (who may have been
a laid-off steelworker last week) arrives at a repair shop to use
the power, heat, space, and move cars around and at the end, perhaps
safely install a windshield after the car is almost completed and
delicately painted. The shop does not get to bill anyone, the customer
or the insurer, for the work as the glass company directs its bills
the insurer. Who is liable when the customer is ejected from the
car along with the improperly installed windshield in the next accident?
You bet, the shop owner. After the ABC newsmagazine show 20/20 ran
a segment that quoted an installer saying that half of the windshields
installed in the U.S. were done improperly, the calls to shops escalated
on this issue. Make sure that the glass installer is either trade-certified
or has taken an approved training course. Insurers and repair shops
can lose significant amounts of money if these recommendations are
not followed -- look at the litigation tort awards running into
several millions of dollars occurring south of the border.
The
insurer wants to put a used airbag in my car. Insurers should
not use them. All major car manufacturers recommend against used
airbags. News stories persist of used airbag suppliers being linked
to using stolen goods. This is a liability that neither the repair
shop or the insurer needs. One insurer advised me that they will
offer their insurance company's lifetime warranty on installed used
airbags as long as a qualified technician installed it -- the problem
is that the company in question could not find a technician to accept
the liability.
Why
is the insurer telling me to void my new car warranty. How many
clients are thrilled to be told by their insurer that their new
car warranty is to be terminated for an insurer's warranty? The
expression on their faces is shock. Insurers should re-think their
attempts to void OEM warranties. This is particularly true with
leased cars where the insurer demands aftermarket parts be installed
with an insurer's warranty. Once the car goes off-lease, is the
insurer going to pay the $1500 penalty that one client was assessed
by his dealer because non-OEM parts were used?
My
paint cost me $400 to buy, but the insurer will only pay $350.
The cost of paint to shops has gone up over 70% in the last ten
years. Putting an arbitrary "cap" on the insured cost is unrealistic.
A double-wheeled, 4x4 crew cab takes a lot more paint than a Neon,
yet insurers cap the same price. Have the appraisers at your insurance
company take some basic auto refinishing training. The end result
will be a more skilled employee, and ultimately a more satisfied
customer. Is that not what we all want?
(see
headlines)
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CLAIMING
FOR DAMAGE TO YOUR AUTOMOBILE
In
Ontario, you claim for damage to your vehicle from your own insurance
company. What you recover will depend on several things:
in
the case of a car accident, whether you were at fault or partially
at fault;
what
optional insurance coverage you carry for your vehicle;
what the actual cash value of your vehicle was at the time of the
accident.
This
information sheet describes terms such as actual cash value, and
describes how your right to claim varies with your coverage.
Claiming
with mandatory coverage only
In
Ontario, your mandatory coverage includes Direct Compensation-Property
Damage, which means that if your vehicle is damaged in an accident,
you may recover directly from your own insurance company - to
the extent that you are not at fault - for the damage to your
vehicle, its contents and loss of use, less any deductible you arranged
with your insurance company. For example, if you were 75% at fault
for the accident - and therefore 25% not at fault - your company
will pay 25% of your loss, less any deductible under Direct Compensation-Property
Damage.
Under
a Direct Compensation-Property Damage claim, you can, to
the extent you're not at fault, recover for damage to the vehicle,
the cost of a temporary rental vehicle (transportation replacement
coverage) and for damaged personal contents carried in the car.
Contents carried for sale or delivery are not covered.
If
your accident is with a car from outside Ontario, Direct Compensation-Property
Damage does not apply unless the insurer of the out-of-province
car has signed an agreement with Ontario to settle claims under
the Direct Compensation-Property Damage rules. If an agreement
does not exist, you will have to sue the out-of-province vehicle
owner and the driver to recover your loss. Your insurance company
will know if the out-of-province insurance company has signed an
agreement.
If
your accident is with a vehicle that is uninsured, you claim under
the mandatory uninsured motorist coverage of your policy.
If you claim under this coverage, you must be able to identify the
other vehicle involved in the accident, and you will be covered
for damage to your vehicle and contents up to $25,000, less the
first $300 of the loss.
Claiming
with mandatory plus optional coverage
If
you purchased optional Collision coverage you may recover
from your insurance company for damage to your vehicle caused by
collision or upset, regardless of fault, less the deductible you
chose at the time you purchased the coverage. Coverage for transportation
replacement is not normally covered under the Collision coverage.
If
your vehicle is hit while parked and the responsible party does
not remain at the accident scene and cannot be identified, you will
be reimbursed for the repair costs only if your policy includes
Collision coverage.
Comprehensive
coverage is the other popular optional coverage for loss or damage
to your vehicle. It covers losses that are not covered by collision,
such as theft, vandalism or fire. Your agent or broker can advise
you on the full range of optional coverages.
Making
a claim
To
find out if you have particular coverage for a specific automobile,
check your certificate of automobile insurance to see if it lists
a premium paid for that coverage, or shows that the coverage is
provided at no cost. Your policy itself explains many details about
your insurance, your rights, and how your company and you can work
together. If you do not have a copy of your policy, ask your insurance
agent, broker or company for one.
If
you have a motor vehicle accident and are making a claim, your company
will want a written notice within seven days describing the accident
and the damage to the vehicle and property. Do not remove evidence
of damage or repair the car before your company has had a chance
to inspect the vehicle, verify the damage and estimate the cost
of repairs.
Insurance
companies often make payments to both you and the garage or shop
where the car is repaired; you should not have to pre-pay. Be sure
you and your insurance company agree in advance about what repairs
will be made and who will pay for them. As far as replacement parts
are concerned, the company is within its rights to repair an insured
car using parts the same age and condition as the car itself. Car
owners are responsible for repair costs that improve the vehicle
beyond its pre-accident state.
Deductible
You
can expect to pay your full deductible unless the accident was not
your fault or was only partially your fault. For example, where
an accident is 25% your fault, you will be covered by Direct
Compensation-Property Damage for the 75% that you were not at
fault.
Since
Collision coverage will apply only to the remaining 25%,
you are responsible for 25% of the deductible.
Actual
cash value
Insurance
companies set the value of most vehicles at the time of the accident.
They call this actual cash value (ACV) and base the amount largely
on the average retail selling price of cars in your region of the
same age, make, model and condition.
Companies
use actual cash value to decide whether to treat your car as a total
loss or whether to repair it. The amount you receive if your car
is a total loss (actual cash value, less deductible, with the company
assuming ownership of the car) may not be what you consider the
real value. One place to look for comparable values is the Red Book
used to determine sales tax on used cars. Your community library
will have a current copy and you should use it to check the retail
cost column.
Fault
Determination Rules
Insurance
companies must use the Fault Determination Rules from the Insurance
Act in assessing the percentage of fault after an accident.
If you disagree with the way your company has assessed the degree
of fault, you can argue the decision in court; the Act specifies
that the court can adjust fault according to ordinary rules of law.
What
happens to your insurance premium when you make a claim?
If
the accident is determined not to be your fault, your insurance
rating should not be affected. If you are found at fault for any
percentage of the accident, your premium may increase
What
are Collision Reporting Centres?
Some
jurisdictions have Collision Reporting Centres. If you are involved
in a minor accident in one of these jurisdictions and there are
no injuries, the police require that drivers attend one of these
reporting centre with their vehicles. At the reporting centre, the
drivers complete accident reports and in some cases, all the important
information is sent to the insurance companies involved in order
to start the adjusting of the claim.
(see
headlines)
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